Organization Active NPI

Ubuntu Black Family Wellness Collective

  • Community Health Clinic/Center
  • Wilmington, DE
National Provider Identifier
1174144083
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
UBUNTU BLACK FAMILY WELLNESS COLLECTIVE
Practice address
2611 Governor Printz Blvd
Wilmington, DE 19802-4518
Phone
(302) 709-1838
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michelle Latanya Drew, DNP,CNM, FNP-C, RNNPI 1174764062
Title
Director
Phone
(615) 830-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2611 Governor Printz Blvd
Wilmington, DE 19802-4518

Mailing address

101 W Newtown PL
Newark, DE 19702-2975
Phone (615) 830-7722

National Provider Directory

National Provider Directory

Locations

2611 Governor Printz Blvd
Wilmington, DE 19802
Phone (302) 709-1838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1174144083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W NEWTOWN PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022975",
            "telephone_number": "615-830-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 GOVERNOR PRINTZ BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024518",
            "telephone_number": "302-709-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBUNTU BLACK FAMILY WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LATANYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-830-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,CNM, FNP-C, RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.